[The diagnostic and treatment characteristics of liver injuries in combined trauma].
The results of diagnostics and treatment of the closed liver's injuries in 180 injured with combined trauma are analyzed. Was established, that the complexity of the diagnostics of the liver trauma and the heavy accompanying injuries, accomplishment of the diagnostic researches on the shock background, consciousness frustration, hemodynamics, breath, hypovolemia requires intensification of ultrasonic researches, computer tomography and laparoscopy, which reliability has made 91-95%. The injured with combined trauma and liver's injuries should be rendered the urgent specialized help. The volume of the operation on liver should be the most minimum, but reliable to stop hemorrhage. The surgical correction of other injuries of the abdominal and peritoneal cavities should be carried out. The operation is finished by cranial decompression trepanation and stabilization bone breaks of pelvis and extremities (under indications) as a preventive measure of shock, loss of blood and embolic complications.
Briusov
P G
PG
Efimenko
N A
NA
Rozanov
V E
VE
Kudriavtsev
B P
BP
D000328:Adult; D003131:Combined Modality Therapy; D004630:Emergencies; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D008722:Methods; D009104:Multiple Trauma / Q000175:diagnosis* / Q000601:surgery; D011859:Radiography; D013997:Time Factors; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery
Osobennosti diagnostiki i lecheniia povrezhdeniĭ pecheni pri sochetannoĭ travme.